Objective: Identifying the principal difficulties to general physicians in the administrative region of Loire-Atlantique to determining the medical time of personal incapacity in daily life named ITT in French legislation linked to wounds.
Methods: A study was performed by an anonym self-assessment questionnaire including 200 GPs. The study was divided in five sections (doctor's profile, self evaluation of establishing medical description of violence and evaluating ITT, questions about theoretical knowledge of ITT, medical difficulties during the assessment of wounds, and free medical comments).
Results: The answer rate was 50,5% of included GPs. 90,4% of medical doctor drafted medical certificate for assault victims. Only 55% of GPs fixed ITT systematically. They were influenced by the importance of assault. They express difficulties about the psychological troubles following assault. These two results were the most medical difficulties during their evaluation.
Discussion: The legal consequences of while incapacity is not sufficiency mastered. The psychological troubles resulting of assault is difficult to estimating for a lot of GPs. The medical doctors collect the patient pressure to increase time of personal incapacity in daily life. Lack of academic training and absence of legal ITT references are reproached by GPs.
Conclusion: Medical certificate of stoppage work is now known as different as the time of personal incapacity for GPs. This way, we think that the evaluation of the ITT has to remain an act of GPs. if difficulties are reported by GPs, the medical testifying will be improved by references and tables which do not exist this day on the subject.